Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1215090766
Practice Locations (1)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
450 LAKEVILLE RD
NEW HYDE PARK, NY 110421118
5167348900
Source: CMS National Downloadable File, September 2026.